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FCD-19642-86828

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
925 / CA
Registered
2021-11-13
Relationship
Child or adolescent in my care
Guardian
593-69599-14527
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-11-12
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-13
    Registered in v-safe
  3. 2021-11-13
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Abdominal pain
    Adult check-in
  4. 2021-11-14
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-15
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-16
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Nasal congestion, Nasal discharge discolouration — Feeling: Good · Site: Pain
    Free text: I wanted to mention he's been having really large brown boogers in his nose and it seems to obstruct his breathing through his nose a bit. It's never occurred prior to shot so thought I should mention it
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-17
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-11-18
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-11-20
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-11-26
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-12-03
    Dose 2 — Pfizer-BioNTech
  12. 2021-12-03
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-12-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-12-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-07
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-12-08
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-12-09
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2021-12-10
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  19. 2021-12-19
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2021-12-24
    Survey response — day 21, dose 2, dependent
    MedDRA: Cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities
    Free text: He had fever and coughing, congestion in chest. Negative covid at home test
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-01-03
    Survey response — day 28, dose 2, dependent
    MedDRA: Abdominal pain, Cough, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: He had cough, fever and abdominal pain. We had tested him for Covid but it was negative
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-01-09
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-01-14
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2022-03-04
    Survey response — 3 months, dose 2, dependent
    MedDRA: Abdominal pain upper, Cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities
    Free text: More stomach aches, he had a negative rapid test but I still think a strong possibility of Covid is possible. Cough, congestion, fever
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-06-05
    Survey response — 6 months, dose 2, dependent
    MedDRA: Rhinorrhoea — Feeling: Fair
    Free text: Snot for weeks
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-12-03
    Survey response — 12 months, dose 2, dependent
    MedDRA: Nasal congestion, Nasopharyngitis, Rhinorrhoea — Feeling: Good
    Free text: Had a stuffy runny nose for weeks after a cold
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-11-12Pfizer-BioNTech No
22021-12-03Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-11-16

Systemic reaction (other): I wanted to mention he's been having really large brown boogers in his nose and it seems to obstruct his breathing through his nose a bit. It's never occurred prior to shot so thought I should mention it

Release 10 — day 21, dose 2, dependent

2021-12-24

Symptoms: He had fever and coughing, congestion in chest. Negative covid at home test

Release 10 — day 28, dose 2, dependent

2022-01-03

Symptoms: He had cough, fever and abdominal pain. We had tested him for Covid but it was negative

Release 11 — 3 months, dose 2, dependent

2022-03-04

Symptoms: More stomach aches, he had a negative rapid test but I still think a strong possibility of Covid is possible. Cough, congestion, fever

Release 11 — 6 months, dose 2, dependent

2022-06-05

Symptoms: Snot for weeks

Release 12 — 12 months, dose 2, dependent

2022-12-03

Symptoms: Had a stuffy runny nose for weeks after a cold

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDAbdominal pain · · ✓
SDAbdominal pain upper · · ✓
SDCough · · ✓
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SRONasal congestion · · ✓
SRONasal discharge discolouration · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release